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<title>个人调查问卷</title>
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<h1>调查问卷</h1>
<h5>根据您的回答,我们会对您每日的营养需求做一些贴心的调整</h5>
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<p>1.您是否经常晒太阳?</p>
经常<input name="q1" type="radio">&emsp;一般<input name="q1" type="radio">&emsp;偶尔<input type="radio" name="q1">
<p>2.您是否经常运动或劳动?</p>
经常<input name="q2" type="radio">&emsp;一般<input name="q2" type="radio">&emsp;偶尔<input type="radio" name="q2">
<p>3.您是否经常上火?</p>
经常<input name="q3" type="radio">&emsp;一般<input name="q3" type="radio">&emsp;偶尔<input type="radio" name="q3">
<p>4.您是否经常抽烟?</p>
经常<input name="q4" type="radio">&emsp;一般<input name="q4" type="radio" >&emsp;偶尔<input type="radio" name="q4">
<p>5.您是否经常喝酒?</p>
经常<input name="q5" type="radio">&emsp;一般<input name="q5" type="radio" >&emsp;偶尔<input type="radio" name="q5">
<br><input type="submit" >
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